What are the causes of male impotence?

Patient's question:

I've been feeling low lately. Every time I'm intimate with my wife, I can't get an erection, let alone reach orgasm. My wife says I have a problem, and after the doctor examined me, he diagnosed me with premature ejaculation. What are the causes of erectile dysfunction in men?

Doctor's answer:

The main reasons are functional and organic. Functional factors are also referred to as psychological factors, such as long-term sexual activity causing psychological stress, poor daily relationships with immediate family members, inappropriate or insufficient sexual stimulation, adverse sexual experiences, and poor sexual living environments, all of which can lead to the condition. Organic factors are often seen in abnormalities in penis development, endocrine issues, inflammation of nerves and blood vessels, local inflammation of the penis, prostatitis, orchitis, and other inflammatory conditions of the reproductive system. Premature ejaculation tends to be recurrent, requiring long-term medication.

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